| Charles Cole D.d.s Llc | |
|
1830 E Parks Hwy A134 Wasilla AK 99654-7378 | |
| (907) 631-3630 | |
| Not Available |
| Full Name | Charles Cole D.d.s Llc |
|---|---|
| Speciality | Dentist |
| Location | 1830 E Parks Hwy, Wasilla, Alaska |
| Authorized Official Name and Position | Charles F Cole (DENTIST/OWNER) |
| Authorized Official Contact | 9076313630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Cole D.d.s Llc 1830 E Parks Hwy Suite A134 Wasilla AK 99654 Ph: (907) 631-3630 | Charles Cole D.d.s Llc 1830 E Parks Hwy A134 Wasilla AK 99654-7378 Ph: (907) 631-3630 |
| NPI Number | 1316383631 |
|---|---|
| Provider Enumeration Date | 05/14/2013 |
| Last Update Date | 05/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316383631 | NPI | - | NPPES |
| DD0007 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 628 (Alaska) | Primary |
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